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1255095576
TIM BURGOYNE
LOGAN, UT
NPI
1255095576
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Professional Name
TIMOTHY DANIEL BURGOYNE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
TIM BURGOYNE
625 W 200 N APT A306
LOGAN, UT 84321
Phone number: 801-695-8177
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Mailing Address
TIM BURGOYNE
625 W 200 N APT A306
LOGAN, UT 84321
Phone number: 801-695-8177
Copy
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